MELANIE GANTNER (PA) – Medical Physician Assistant, NPI 1912952003

MELANIE GANTNER (PA) is a healthcare provider. based in Las cruces, New Mexico. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA2004-0012 (NM). The NPI Number for MELANIE GANTNER (PA) is 1912952003

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE GANTNER (PA)
NPI
1912952003
Phone
(575) 525-2700
Address
540 WALTON BLVD
Enumeration Date
24 May 2006
Last Update Date
5 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5755243346
Graduation Year
2004 (22 years ago)
PAC ID
3971568841
Group Practice PAC ID
7315836574
Professional Enrollment ID
I20041120000000
Address ID
NM880053821LA1680XALVA401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

892 PHYSICIAN ASSISTANT in NM

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Provider Addresses for MELANIE GANTNER (PA)

  • Massage Envy Spa, 540, Walton Boulevard, Las Cruces, Doña Ana County, New Mexico, 88001, United States

    STE C

    LAS CRUCES, NM 880018433

    Phone: (575) 525-2700

    Fax: (575) 524-2045

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $351.

Total Amount is formed as General ($351) + Research ($0) + Ownership ($0) = $351.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Lilly USA, LLC ($181).

Total Amount

$351

General + Research + Ownership

Payments

20

Total payment records

General Amount

$351

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041120000000IPhysician AssistantNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 88001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315836574View full group profile
NameSpecialtyState
Internal MedicineNM
Nurse PractitionerTX
Nurse PractitionerCO
Nurse PractitionerNV
Nurse PractitionerNM
Nurse PractitionerNM
-NM
Family PracticeNM
Nurse PractitionerNM
Family PracticeNM

Reviews

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Frequently asked questions

Where can patients find MELANIE GANTNER (PA)'s NPI?
You can confirm MELANIE GANTNER (PA) with NPI 1912952003; it appears in the national provider directory.
Is MELANIE GANTNER (PA) currently active in the NPI registry?
CMS-published data lists MELANIE GANTNER (PA) as an active registrant.
What field does MELANIE GANTNER (PA) work in?
You can think of MELANIE GANTNER (PA) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MELANIE GANTNER (PA)'s primary listing?
We display Las Cruces, New Mexico because that is what the record indicates for MELANIE GANTNER (PA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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